Individual
ADE A BAJULAIYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8122 N.W. 78TH TER, OKC, OKLAHOMA, OK 73132
(405) 720-9752
Mailing address
8122 N.W. 78TH TER, OKC, OKLAHOMA, OK 73132
(405) 720-9752
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
103TR0400X
OK
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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